Improving Infusion Pump Safety Through Usability Testing

Miller KE, Arnold R, Capan M, Campbell M, Zern SC, Dressler R, Duru OO, Ebbert G, Jackson E, Learish J, Strauss D, Wu P, Bennett DA J Nurs Care Qual 2017 Apr/Jun;32(2):141-149 PMID: 27500697 Abstract With the recognition that the introduction of new technology causes changes in workflow and may introduce new errors to the

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Embedding a trauma hospitalist in the trauma service reduces mortality and 30-day trauma-related readmissions

Cipolle MD, Ingraham Lopresto BC, Pirrung JM, Meyer EM, Manta C, Nightingale AS, Robinson EJ, Tinkoff GH J Trauma Acute Care Surg 2016 Jul;81(1):178-83 PMID: 27032003 Abstract BACKGROUND: Recognizing the increasing age and comorbid conditions of patients admitted to our trauma service, we embedded a hospitalist on the trauma service at our Level I trauma

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Primary Care Provider Perspectives on Electronic Medication Refill History

Comer D, Mearns E, Olivere L, Elliott DJ Am J Med Qual 2017 Jan/Feb;32(1):43-47 PMID: 26537773 Abstract Improvements in health information technology have made aggregate multipayer pharmacy claims data increasingly available through the electronic health record (EHR). The objective of this study was to assess the current awareness, utilization, and impact of pharmacy history data

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Reductions in High-End Imaging Utilization With Radiology Review and Consultation

Ingraham B, Miller K, Iaia A, Sneider MB, Naqvi S, Evans K, Gheyi V, Anzilotti K J Am Coll Radiol 2016 Sep;13(9):1079-82 PMID: 27325470 Abstract Following the uptake of value-based purchasing in concert with health care reform in the United States, providers, insurers, and patients are looking for ways to reduce excessive, dangerous, and/or inappropriate

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High Single-dose Vancomycin Loading Is Not Associated With Increased Nephrotoxicity in Emergency Department Sepsis Patients

Rosini JM, Davis JJ, Muenzer J, Levine BJ, Papas MA, Comer D, Arnold R Acad Emerg Med 2016 Jun;23(6):744-6 PMID: 26850378 Abstract OBJECTIVE: Vancomycin loading doses are recommended; however, the risk of nephrotoxicity with these doses is unknown. The primary objective of this study was to compare nephrotoxicity in emergency department (ED) sepsis patients who

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Using the Comprehensive Unit-based Safety Program model for sustained reduction in hospital infections

Miller K, Briody C, Casey D, Kane JK, Mitchell D, Patel B, Ritter C, Seckel M, Wakai S, Drees M Am J Infect Control 2016 Sep;44(9):969-76 PMID: 27184208 Abstract BACKGROUND: Prompted by the high number of central line-associated bloodstream infections (CLABSIs), our institution joined the national On the CUSP: Stop BSI initiative. We not only

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Characteristics of late-onset sepsis in the NICU: does occupancy impact risk of infection?

Goldstein ND, Eppes SC, Ingraham BC, Paul DA J Perinatol 2016 Sep;36(9):753-7 PMID: 27149054 Abstract OBJECTIVE: Infants in neonatal intensive care units (NICUs) are vulnerable to a variety of infections, and occupancy in the unit may correlate with risk of infection. STUDY DESIGN: A retrospective cohort of infants admitted to the NICUs between 1997 and

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Time Series Analysis for Forecasting Hospital Census: Application to the Neonatal Intensive Care Unit

Capan M, Hoover S, Jackson EV, Paul D, Locke R Appl Clin Inform 2016;7(2):275-89 PMID: 27437040 Abstract BACKGROUND: Accurate prediction of future patient census in hospital units is essential for patient safety, health outcomes, and resource planning. Forecasting census in the Neonatal Intensive Care Unit (NICU) is particularly challenging due to limited ability to control

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Key issues for elderly patients contemplating clinical trial participation

Carandang L, Goldsack JC, Sonnad SS J Women Aging 2016;28(5):412-7 PMID: 27088345 Abstract This pilot study explored issues important to enrollment in clinical trials by elderly patients. We surveyed and interviewed elderly patients who had been asked to participate in trials. The information covered general attitudes toward research and specific aspects of trial recruitment. Elderly

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Is the Care Transitions Measure Associated with Readmission Risk? Analysis from a Single Academic Center

Goldstein JN, Hicks LS, Kolm P, Weintraub WS, Elliott DJ J Gen Intern Med 2016 07;31(7):732-8 PMID: 26868279 Abstract BACKGROUND: It is widely hypothesized that improvement in transitions of care will reduce unplanned hospital readmissions. However, the association between the Care Transitions Measure, the national quality metric for transitions of care and readmission risk, has

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